一个移动应用程序旨在促进共享决策在治疗精神疾病:可行性和可接受性研究
Mari Skoge1,2, Sofie Ragnhild Aminoff1, Elizabeth Ann Barrett1
1Early Intervention in Psychosis Advisory Unit for South East Norway, Division of Mental Health and Addiction, Oslo University Hospital, Sognsvannsveien 21, Bygg 12, 2. etg, Oslo, 0372, Norway, 47 93624119.
JMIR human factors
|July 11, 2025
概括
iTandem移动应用程序是一个可行的和可接受的工具,用于增强精神病治疗中共享决策. 它的成功取决于个性化的支持结构,而不仅仅是诊断.
科学领域:
- 心理健康 心理健康
- 数字健康干预措施 数字健康干预措施
- 精神病性障碍 精神病性障碍 精神病性障碍
背景情况:
- 共享决策 (SDM) 对于改善心理健康护理质量和结果至关重要.
- 在严重精神障碍中实施SDM仍然是一个挑战.
- 数字工具为在临床实践中增强SDM提供了潜在的解决方案.
研究的目的:
- 探索iTandem移动应用程序的可行性和可接受性,以促进精神疾病治疗中的SDM.
- 调查iTandem可以促进SDM的机制.
- 评估个性化支持对应用程序有效性的作用.
主要方法:
- 混合方法研究设计以质量为重点.
- 6周的试验涉及9名患者和8名临床医生使用iTandem.
- 可行性和可接受性通过调查问卷,应用程序使用数据和面试的主题分析进行评估.
主要成果:
- iTandem被认为是用户友好和可接受的,具有多样化的集成和感知的临床价值.
- 该应用程序显示了通过支持认知和赋权患者来增强SDM的潜力.
- 个性化的支结构 (脚手架) 被认为对可行性和可接受性至关重要.
结论:
- iTandem是SDM在精神疾病治疗中的可行和可接受的工具.
- 非临床因素,如支持结构,显著影响数字干预的成功.
- 未来的研究应该关注这些支持方面,而不是仅仅关注针对干预的诊断标准.
相关概念视频
01:26Psychosis: Goals of Pharmacotherapy
212
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
212
01:28Psychosis and Antipsychotic Drugs: Overview
463
The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic...
463
01:28Drug Therapy
105
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
105
01:30Psychosurgery
114
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
114
01:24Treatment Strategies for Psychological Disorders
277
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
277